# CENTER FOR RETINAL DISEASES AND SURGERY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003850850
- **Authorized official:** DR. STEPHEN S PAPPAS JR. M.D. (MEMBER)
- **Authorized official phone:** (301) 571-2000

## Contact information

- **Practice address:** 6420 ROCKLEDGE DR, SUITE 4900, BETHESDA, MD 20817-7837
- **Practice address phone:** (301) 571-2000
- **Practice address fax:** (301) 571-4307
- **Mailing address:** 6420 ROCKLEDGE DR, SUITE 4900, BETHESDA, MD 20817-7837
- **Mailing address phone:** (301) 571-2000
- **Mailing address fax:** (301) 571-4307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | D0044710 | MD | Yes |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 330652 | MDIPA, OPT CHOICE, MAMSI | — |
| 01 | — | 4332262 | AETNA | — |
| 01 | — | 7457 | CAREFIRST | DC |
| 01 | — | LW08 | CAREFIRST | MD |